February 2003 Issue
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In this issue:
Canadian
Chiropractors Want Ban on Kids Bodychecking in Hockey
The Canadian Hockey Association,
after a three-year pilot project, made the decision to allow checking for
the 2002-2003 season at the Atom level, which drops the age in which
bodychecking begins from twelve to nine. Shortly after this decision the
Canadian Chiropractic Association opposed allowing young minor hockey
players to bodycheck, saying it can lead to long-term developmental
problems.
Dr. Greg Stewart,
president of the Canadian Chiropractic Association responded by saying, "It`s
a move I think they should reconsider." He went on to say, "Boys who are
aged nine, they don`t have the skill development to take a proper hit or to
give one. They don`t have the stability, they don`t have the balance in the
skates and they definitely don`t have the muscular strength. There`s more to
it than the catastrophic injuries," he said. "Tissue injuries at that age
can lead to longer-term consequences."
The article on this debate
appeared in the Canadian Press of Wednesday, January 29, 2003. The article
noted that bone formation does not begin to mature until a child reaches
puberty, Stewart explained, and injuries to immature bone structures in
young players can cause deviations in bone development.
The Canadian Hockey Association
based its decision on a study out of Lakehead University which compared
injuries in a group of children that was allowed to bodycheck to a group
that was not. The study concluded introducing bodychecking at the age of
nine to twelve didn`t significantly increase the risk of injuries to
players. The Canadian Chiropractic Association recently criticized the
Lakehead study`s methodology, saying it was flawed and actually proved the
reverse, that there were more injuries. "We`re not actually jumping on
anyone else`s bandwagon," said Dr. Stewart. "We`re looking at it from a
profession that treats all ages and we want young boys to develop into
healthy young men.
Surgical
Tools Left in 1,500 Patients Per Year
A study done by researchers at
Brigham and Women’s Hospital and Harvard School of Public Health, in Boston
was published in the January 16, 2003 New England Journal of Medicine
reported on the high number of surgical tools left inside patients during
surgery.
The study on medical mistakes
found that operating room teams around the country leave sponges, clamps and
other tools inside about 1,500 patients every year, largely because of
stress from emergencies or complications discovered during surgery. The
researchers checked insurance records from about 800,000 operations in
Massachusetts for 16 years ending in 2001. They counted 61 forgotten pieces
of surgical equipment in 54 patients. From that, they calculated a national
estimate of 1,500 cases yearly. A total of $3 million was paid out in the
Massachusetts cases, mostly in settlements.
The study showed that two-thirds
of the mistakes happened even though the equipment was counted before and
after the procedure, in keeping with the standard practice. It also claimed
that these types of mistakes happen more often to fat patients, simply
because there is more room inside them to lose equipment.
Most lost objects were sponges,
but also included were metal clamps and electrodes. In two cases, 11-inch
retractors, metal strips used to hold back tissue, were forgotten inside
patients. The study found that emergency operations are nine times more
likely to lead to such mistakes, and operating-room complications requiring
a change in procedure are four times more likely. The lost objects were
usually lodged around the abdomen or hips but sometimes in the chest, vagina
or other cavities. They often caused tears, obstructions or infections. One
patient died of complications.
Dr. Sidney Wolfe, health
research director of the public-interest lobby group Public Citizen, said
the real number of lost instruments may be even higher, because hospitals
are not required to report such mistakes to public agencies. Dr. Kaveh
Shojania, author of a 2001 federal study on medical mistakes, summed the
report up by saying, "Something has to be done about this. It`s just a very
tough balance to decide."
Antibiotics To Bear New
Warnings
Antibiotics
soon will bear a big new warning that overusing them makes them less
effective. From the February 6, 2003 release of the Associated Press
Health News, comes the news that antibiotics will soon carry a new warning
message mandated by the US Food and Drug Administration.
The
new action was prompted because it has long been known that antibiotics have
been drastically overused. According to the AP story, the new warning says
that doctors must be sure a patient is suffering a bacterial infection, not
a virus with similar symptoms, before prescribing antibiotics. The article
notes that all too often, doctors prescribe antibiotics for children with
earaches caused by viruses, or for adults with colds or viral coughs.
Antibiotics have no effect on viruses;
they only fight bacteria. However, the US government estimates that half of
the 100 million antibiotic prescriptions written in physician offices each
year are unnecessary.
One of the reasons that the FDA action
has become so important is that bacteria are growing increasingly resistant
to antibiotics. Many common infections no longer are treatable with old
standbys like penicillin, and some have become untreatable by every
antibiotic on the market. Anytime antibiotics are used, survivor germs can
emerge stronger and spread. It is the overuse of antibiotics that has lead
to the increased resistance by bacteria.
The FDA proposed the new warnings two
years ago. They will go into effect Feb. 6, 2004. Unfortunately, the
warnings would be only on the drugs` official label, and the AP story
reports that very few doctors read drug labels. Because of this the FDA is
working on additional ways to spread their concern over the use of
antibiotics, including future ads aimed at consumers.
Move Toward
Chiropractic is Consumer-Driven
From the November 18, 2002 issue of New
York Magazine comes a feature article about many famous New Yorkers
receiving chiropractic care. The article starts off by dropping the names
of famous people who depend on chiropractic care. Those names include the
likes of Henry and Nancy Kissinger, Ralph and Ricky Lauren, and Oscar de la
Renta.
De la Renta recounts his story for the
article, "I had back surgery a year and a half ago, but after the surgery, I
was in a car accident and had whiplash and horrible pain in my elbows and
arms. The doctor said I would need another surgery on my cervical
vertebrae, and I have to tell you, I went to my chiropractor every day for
six weeks and not only did I not have to have the surgery, I have never
again had any pain."
In the article, Woodson Merrell,
executive director of the Continuum Center for Health and Healing states, "A
lot of patients are really ticked off with medicine right now. They want
nothing to do with conventional therapy." The Continuum Center for Health
and Healing is a lower Fifth Avenue outpost of Beth Israel Medical Center,
offering chiropractic, acupuncture, and aromatherapy along with their
standard services of pediatrics, gynecology, and internal medicine.
Playwright Warren Leight, whose play Side
Man won the Tony in 1999, is another advocate of chiropractic care. He
related his story in the article when he stated, "I was sent to the
chiropractor by a friend who had migraines. I was skeptical, but I'm a
writer. I'm skeptical of everything. I thought I'd give it a try because the
painkillers were a drag. It had not occurred to me that you could go to
someone who would run her hand down your spine and know where it's hurting.
She always knows where it hurts. I go to my chiropractor like an 80-year-old
and come out like a 45-year-old. I also haven't gotten as sick as often
since seeing her," Leight adds, saying of his visits with her, "It seems to
re-center your body's immune system."
More Kids Receiving
Psychiatric Drugs
In the January 14, 2003 issue of the
Washington Post is a news story that reported the results of a study done at
the
University of Maryland in Baltimore on the drastic increase in
psychiatric drug use in children. The study, which evaluated 900,000
children on Medicaid in a Midwest state, showed that more than 6 percent of
children were taking drugs such as Prozac, Ritalin and Risperdal.
This means that the number of American
children being treated with psychiatric drugs has grown sharply in the past
15 years, tripling from 1987 to 1996 with no sign of slowing. The authors
of the study said they fear that cost-saving techniques by insurance
companies, marketing by the pharmaceutical industry and increased demands on
parents and doctors may be driving the increase.
In response to the study, Michael
Jellinek, chief of child psychiatry at Massachusetts General Hospital, said,
"There are fewer options other than medication." He noted that insurers
have increased their profits by decreasing the use of psychotherapy, which
is more expensive than drugs in the short term. He continued, "The insurance
system gave an incentive for medications and a disincentive for therapy."
Julie Zito, lead author and researcher at
the University of Maryland, points out, "Other than zonking you, we don't
know that behavioral management by drug control is the way to learn to
behave properly. If we are using drugs to control behavior, that doesn't
change the underlying problem if someone doesn't know how to get along with
their peers."
"The medicine may help the symptoms but
not address issues of self-esteem, interpersonal relationships and family
relationships, all of which are part of recovery," said Jellinek, who
analyzed Zito`s study. He continued, "You can get a lot of benefit from
behavioral treatments. If someone is getting medicines for
obsessive-compulsive disorder, I would like to see them be given a trial of
behavioral therapy to see if that helps them and maybe decrease the
medication."
Smallpox Vaccine Risky
Even for Those Who Don`t Get It
The
January 19, 2003 issue of the Seattle Times adds more controversy and fire
to the debate on the idea of performing mass smallpox vaccinations in
response to the threat of a terrorist attack. The article starts off by
stating, "More than 800,000 people in Washington state — about one in seven
residents — could risk a severe reaction from close contact with a person
recently vaccinated against smallpox, combined estimates from health
authorities and state officials indicate.
The
article says that the authorities define severe reactions as ranging from a
painful, widespread rash to death. In explaining the process the article
states that the smallpox vaccine is not given as a regular shot; instead, it
is inserted into layers of the skin with repeated pricks of a small needle.
The vaccination site is then kept covered until it heals. Direct skin
contact with secretions from vaccination wounds could set off the
complications. These contacts include touching bedding, towels or clothing
thus spreading the secretions.
These secretions contain live vaccinia
virus, a cousin of the smallpox virus which supposedly tricks healthy immune
systems into building a smallpox defense. The vaccinia virus is the active
component of the smallpox vaccine. These vaccination sites are contagious
for about three weeks, until the scab falls off. The problem is then that
those who are vulnerable can contract severe "vaccinia," which is caused by
this virus. Additionally, secretions that touch healthy people could cause
a rash that, if it gets into the eye, could cause permanent damage.
Judith Billings, chair of the Washington
State Governor's Advisory Council on HIV/AIDS says, "We do not want to
discourage people from getting health care because they are scared (of
vaccinated healthcare workers) But we want them to know there are risks
and that they should take the appropriate actions."
The article stated that there are groups
of people who would be more at risk from contact with people who have been
vaccinated. These groups include anyone who has had eczema or atopic
dermatitis, or anyone who has had one of many other types of skin
disorders. Additionally at risk are pregnant women, infants under age 1,
people with HIV, cancer patients, patients who have had organ transplants,
and the elderly.
Study Touts Benefits of Chiropractic Care for Kids With Low Back Pain
Published in the January 2003 issue of
the peer-reviewed periodical, Journal of Manipulative and Physiological
Therapeutics (JMPT), is the results of a study on lower back pain in
children. The journal article starts off by noting that about 50% of
children suffer from lower back pain at one time or another. It also notes
that about 15% of children experience frequent or continual pain.
The study was conducted on 54 children
between the ages of 4 and 18 in the cities of Calgary, Alberta, and
Toronto, Ontario, Canada. In the study the children with lower back pain
received chiropractic care from a variety of volunteer chiropractors in
Canada. The children were tracked regularly during the study to monitor
their progress. Results were obtained in several ways including responses
from the patients themselves on how they felt their progress was coming.
Results of the study showed improvement
over the follow-up period was observed in 46% to 92% of the children for
various criteria. In a period of 30 days 82% of the children reported that
they were "much improved."
The researchers conclusions were, "Patients
responded favorably to chiropractic management, and there were no reported
complications."
_______________________________________
Are
you getting adjusted regularly? Adjustments provide balance to the
nervous system.
“Interference to the nervous system results in
permanent damage within a short period of time and therefore, Chiropractic
care should begin at birth on a preventative basis.”
Dr. Arpad DeNagy
Rockefeller Institute
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